Integrated analysis of the health and social inequalities of Spanish adolescents

This survey descriptive study presents the process leading up to the creation of a global health score for adolescents. In recent years, the concept of health, which is the bases for this study, has undergone changes to include both dysfunctional elements as well as the individual resources that protect health. The sample was made up of 18,955 adolescents between 11 to 18 years of age, in Spain and with participants in each of the regions making up the kingdom of Spain. Using exploratory and confirmatory factorial analysis techniques, the results showed a global dimension of the health, starting from self-report indicators of life satisfaction, health-related quality of life, perception of the general state of health and psychosomatic complaints. This health score decreased as age increased and more notably among girls, as well as in adolescents from low-income families. The comparative analyses between regions showed differences which were, in principle, not attributable to the economic well-being of the geographic area. Finally, these results and their implications were discussed, as well as the importance of the calculation used in the analysis of the social inequalities in health.